# OCHSNER CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OCHSNER CLINIC LLC
- **Other names:** OLGC BRACC UroGynecology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003539826
- **Legal business name:** OCHSNER CLINIC LLC
- **Authorized official:** EDUARDO BENITEZ (DIRECTOR)
- **Authorized official phone:** (504) 430-0025

## Contact information

- **Practice address:** 1211 COOLIDGE BLVD STE 401, LAFAYETTE, LA 70503-2638
- **Practice address phone:** (337) 769-8960
- **Practice address fax:** (337) 769-8961
- **Mailing address:** 1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 09/26/2022
- **Last updated:** 09/26/2022